KEERTHI D PRASAD


Address: 1928 45th St, Munster, IN 46321-3917
Phone: 2194767246

KEERTHI D PRASAD (NPI# 1043518186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043518186
Entity Type Individual
Full Name KEERTHI D PRASAD
Credential M.D.
Practice Address 1928 45th St
Munster
IN 46321-3917
Mailing Address 2211 Roosevelt Rd
Valparaiso
IN 46383-2748
Practice Telephone 2194767246
Practice Fax Number 2194761713
Enumeration Date 2011-03-13
Last Update Date 2018-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
0107477A IN Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
01074777B IN Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
01074777A IN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
201 Main St, Hobart, IN 463424439 2194767246 2194761713
2211 Roosevelt Rd, Valparaiso, IN 463832748 2194767246
204 Legacy Plz W, La Porte, IN 463505285 2194767246 2194761713
11420 Broadway, Crown Point, IN 463077106 2194767246 2194761713

Office Location

Street Address 1928 45TH ST
City MUNSTER
State IN
Zip Code 46321-3917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366098162 Principal Anesthesia LLC Anesthesiology 1928 45th St, Munster, IN 46321-3917 2019-08-16
1851959043 Jennifer Razey Chiropractor 1928 45th St, Munster, IN 46321-3917 2019-06-03
1609333723 Centers for Pain Control, Inc Radiology 1928 45th St, Munster, IN 46321-3917 2019-02-25
1154893717 Tyler Gress Chiropractor 1928 45th St, Munster, IN 46321-3917 2018-12-20
1679040224 Stream Clinics, LLC Radiology 1928 45th St, Munster, IN 46321-3917 2018-10-31
1184042533 Brian Mikulan Maxfield Anesthesiology 1928 45th St, Munster, IN 46321-3917 2014-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154959179 Munster Surgery Center LLC Clinic/Center 1950 45thstreet, Unit 101, Munster, IN 46321 2020-03-27
1467092668 Barbara Armstrong-whitaker Counselor 8855 Columbia Ave, Munster, IN 46321 2020-01-15
1427537661 Courtney Szydelko Physical Therapist 759 45th St Ste 202, Munster, IN 46321 2018-08-08
1407341787 New Harvest Therapy Services, Inc. Clinic/Center 8124 Calumet Ave Ste B, Munster, IN 46321 2018-06-28
1043717945 Region Eye Care LLC Optometrist 10413 Calumet Ave., Munster, IN 46321 2018-04-09
1003318122 Jean M Nanos Psychologist 8124 Calumet Ave, Munster, IN 46321 2018-03-05
1841706330 Avalon Marciniak Speech-Language Pathologist 1950 West 45th St., Munster, IN 46321 2017-12-19
1104330034 Hinsdale Orthopaedic Associates, S.c. Orthopaedic Surgery 8141 S Calumet Ave, Unit 1, Munster, IN 46321 2017-11-30
1457871774 Shannon Nicole Riley Behavior Technician 8113 Howard Ave., Munster, IN 46321 2017-06-27
1679017313 Infomedica Internal Medicine 10010 Donald S Powers Dr, Munster, IN 46321 2016-12-15
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679862296 Mohammed Mohsin Khadir Radiology 901 Macarthur Blvd, Munster, IN 46321-2901 2011-04-05
1588855084 Jay U Patel Md, PC Radiology 8242 Calumet Ave, Suite 2-a, Munster, IN 46321-1758 2007-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306317565 Donita Renee Morris Radiology 6910 N Oxford St, Indianapolis, IN 46220-2255 2018-12-16
1174099147 Omnivas Nwi Radiology 8127 Merrillville Rd Ste 1, Merrillville, IN 46410-6306 2018-10-17
1669982492 Us Access Care of Indianapolis, LLC Radiology 201 North Illinois St, 16th Floor - South Tower, Indianapolis, IN 46204-4618 2017-10-06
1487038360 Beacon Medical Group, Inc. Radiology 233 Florence Ave, Granger, IN 46530-8048 2015-07-10
1396075982 Ir Halum, LLC Radiology 5953 Calais Ct, Indianapolis, IN 46220-6004 2010-01-05
1952307480 Joseph W Eke Jr. Radiology 711 S East St, Indianapolis, IN 46225-1317 2005-06-21
1053922849 Ultrasonic Medical Specialists LLC Radiology 365 Conestoga Dr, Chesterton, IN 46304-1559 2020-08-13
1912522368 Ng Medical Center LLC Radiology 5900 Hohman Ave, Hammond, IN 46320-2423 2020-06-11
1487176004 Modern Vascular and Vein Center LLC Radiology 951 Transport Dr, Valparaiso, IN 46383-8434 2017-07-14
1154856789 Xrc Clinical Radiology, LLC Radiology 121 S Saint Louis Blvd, South Bend, IN 46617-2924 2017-04-20
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Competitor

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City MUNSTER
Zip Code 46321

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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